Individual
SHANTELL AMANDA NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
211 E LOGAN ST STE 303, CALDWELL, ID 83605-4882
(208) 250-2834
Mailing address
211 E LOGAN ST STE 303, CALDWELL, ID 83605-4882
(208) 250-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8393
ID
Other
Enumeration date
09/30/2021
Last updated
06/06/2023
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